Healthcare Provider Details

I. General information

NPI: 1346111978
Provider Name (Legal Business Name): NICOLE LEIGH BATTJES CD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2025
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4143 W WEIR RD
FAYETTEVILLE AR
72704-5917
US

IV. Provider business mailing address

4143 W WEIR RD
FAYETTEVILLE AR
72704-5917
US

V. Phone/Fax

Practice location:
  • Phone: 586-306-0701
  • Fax:
Mailing address:
  • Phone: 586-306-0701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: